Who's Successfully Switching Into Downside Risk in the MSSP? A New Study Examines the Issue

摘要

"Despite most accountable care organizations (ACOs) in the Medicare Shared Savings Program (MSSP) remaining in upside-only models, some ACOs have made the switch into risk-bearing tracks and/ or participated in risk-bearing Center for Medicare and Medicaid Innovation (CMMI) demonstration models such as Pioneer and Next Generation." And just which ACOs are successfully making that switch? "On average, track switchers tend to be larger, more experienced, and more successful on program financial metrics. The difference between switchers and others on financial metrics is not explained by benchmark levels or ACO size. Track switchers were also more likely to serve high-population and metropolitan areas."Those are the conclusions of a recent study by researchers at the Salt Lake City-based Leavitt Partners, who in February released a report on the subject entitled "Track Switching in Medicare ACO Programs: A Look at the Move to Downside Risk." That white paper is available via the Leavitt Partners website.